| NPI | 1174087662 |
|---|---|
| Other Name | GARY SIDHU |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RH0011500923) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA R1322710918) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-02-05 |